Wilsonville Dental Group
NPI #1003046731 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1003046731
- Entity Type
- Organization
- Organization Name
- Wilsonville Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 15, 2009
- Last Updated
- Aug 4, 2009
Practice Location
- Address
- 29292 SW TOWN CENTER LOOP E
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9491
- Phone
- (503) 682-0431
Authorized Official
- Name
- DR. JOSHUA L WIELAND, D.M.D.
- Title
- PARTNER
- Phone
- (503) 682-0431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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